The CE provider will describe and discuss as appropriate:
a. General observations, such as how the claimant arrived at the examination, whether
they were alone or accompanied, the distance they traveled, and if they arrived by
automobile, who drove;
b. General appearance (including any obvious vision or hearing loss, and facial, skeletal,
or other abnormalities);
c. Blood pressure, pulse rate and rhythm, respiratory rate;
d. Nutritional status (including height and weight without shoes, including the presence
and impact of obesity, if appropriate);
e. Behavior (such as cooperativeness and effort on testing, as appropriate); and
f. A thorough and complete physical examination, with aspects of the examination focusing
on the claimant’s major and minor complaints in detail, describing both pertinent
positive and negative findings.